Question 1

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When describing fetal positions, the first letter in the series

denotes which of the following?

a.side of the maternal pelvis

b.type of fetal delivery

c.presenting part of the fetus

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The correct answer is: side of the maternal pelvis

Question 2
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Which of the following characteristics of contractions would the
nurse expect to find in a client experiencing true labor?

a.starting mainly in the abdomen

b.increasing intensity with walking

c.gradually increasing intervals

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The correct answer is:

increasing intensity with walking

Question 3
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Barbiturates are usually not given for pain relief during active labor
for which of the following reasons?

a. adverse reactions may include maternal hypotension, allergic or

toxic reaction, or partial or total respiratory failure

b.these drugs readily cross the placental barrier, causing

depressive effects in the newborn 2 to 3 hours after intramuscular
injection

c.they rapidly transfer across the placenta, and lack of an

antagonist make them generally inappropriate during labor
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The correct answer is:

they rapidly transfer across the placenta, and lack of an antagonist
make them generally inappropriate during labor

Question 4
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Which of the following nursing interventions would the nurse
perform during the third stage of labor?

a.coach for effective client pushing

b.promote parent-newborn interaction

c.assess uterine contractions every 30 minutes

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The correct answer is:
promote parent-newborn interaction

Question 5
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When describing a preterm newborn, the nurse would describe the
newborn as being born at which of the following?

a.before 37 weeks' gestation

b.after 25 weeks' gestation

c.before 25 weeks' gestation

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The correct answer is:

before 37 weeks' gestation

Question 6
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Before assessing the postpartum client's uterus for firmness and
position in relation to the umbilicus and midline, which of the
following should the nurse do first?

a.assist the client to ambulate

b.administer analgesia

c.ambulate the client in the hall

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The correct answer is:
assist the client to ambulate

Question 7
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When caring for a client in the postpartum "taking-in" phase, the
nurse should plan to do which of the following?

a.promote self-care activities

b.provide nourishment and rest

c.teach newborn skills

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The correct answer is:

provide nourishment and rest

Question 8
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The nurse assesses the vital signs of a client 4 hours postpartum.
They are as follows; BP 90/60 mmHg; temperature 100.4 F; pulse
100 weak, thready; respirations 20 per minute. Which of the
following should the nurse do first?

a.determine the amount of lochia

b.report the temperature to the physician

c.assess the uterus for firmness and position

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The correct answer is:

determine the amount of lochia

Question 9
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The nurse assesses the postpartum vaginal discharge(lochia) on
four clients. Which of the following assessments would warrant
notification of the physician?

a.a bright red discharge after 5 days after delivery

b.almost colorless to creamy discharge on a client 2 weeks after

delivery

c.a dark red discharge on a 2-day postpartum client

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The correct answer is:

a bright red discharge after 5 days after delivery

Question 10
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The home health nurse visits a client 3 weeks after delivery. The
single mother cries and tell the nurse, '' I just can't seem to be able
to take care of myself and the baby, too. I'm not a good mother.
The baby cries a lot and gets on my nerves! I'm always sad and
irritable!" Which of the following nursing diagnosis would be most
appropriate?
a.Powerlessness

b.Ineffective individual coping

c.Hopelessness
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The correct answer is: Ineffective individual coping

Question 11
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Which of the following observable behaviors indicates that the
client outcome of "will demonstrate positive bonding behavior"
has been met?

a.touching the unwrapped infant with palms of hands

b.asking few questions about newborn care

c.handling the infant for feeding and diaper change

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The correct answer is:

touching the unwrapped infant with palms of hands

Question 12
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The nurse instructs the client who selects the basal body
temperature method of contraception to take her temperature
daily at which of the following times?
a.before arising

b.after breakfast

c.before bedtime
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The correct answer is:

before arising

Question 13
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A postpartum primipara asks the nurse, "When can we have sexual
intercourse again?" Which of the following would be the best
response?

a."Anytime you both want to."

b."After your examination at 6 weeks."

c."When the discharge has stopped and the incision is healed."

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The correct answer is:

"When the discharge has stopped and the incision is healed."

Question 14
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A multigravida at 38 weeks' gestation is admitted with painless,
bright red bleeding and mild contractions every 7 to 10 minutes.
Which of the following assessments should be avoided?

a.cervical dilatation

b.fetal heart rate

c.contraction monitoring
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The correct answer is:

cervical dilatation

Question 15
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The nurse understands that the fetal head is in which of the
following positions with a face presentation?

a.partially extended

b.completely flexed

c.completely extended
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The correct answer is:

completely extended

Question 16
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Question text
With a fetus in the left-anterior breech presentation, the nurse
would expect the fetal heart rate would be most audible in which
of the following areas?

a.above the maternal umbilicus and to the right midline

b.above the maternal umbilicus and to the left midline

c.in the lower-left maternal abdominal quadrant

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The correct answer is:

above the maternal umbilicus and to the left midline

Question 17
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The amniotic fluid of the client has a greenish tint. The nurse
interprets this to be the result of which of the following?

a.lanugo

b.vernix

c.meconium
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The correct answer is:

meconium

Question 18
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When assessing labor contractions, the nurse does not describe:

a.intensity

b.duration and frequency

c.location
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The correct answer is: location

Question 19
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A laboring mother receives an epidural anesthetic. The nurse
should immediately:

a.assess the patient's blood pressure, pulse and respiration

b.assess the FHR

c.administer oxygen via face mask

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The correct answer is:

assess the patient's blood pressure, pulse and respiration

Question 20
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Which of the following would the nurse expect to find when
assessing a client who delivered a newborn 12 hours ago?

a.complaints of hunger

b.lochia alba

c.transient tachycardia
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The correct answer is:

complaints of hunger

Question 21
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When teaching a postpartum client about breast-related changes
in the immediate postpartum, on which of the following would the
nurse base the teaching plan?

a.estrogen and progesterone levels drop rapidly as prolactin

secretion increases

b.colostrum, present by 2 to 3 postpartum days, eventually

changes to breastmilk

c.estrogen and progesterone levels and secretion of prolactin

rapidly increase
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The correct answer is:

estrogen and progesterone levels drop rapidly as prolactin
secretion increases

Question 22
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Which of the following factors most influences the new mother's
successful transition to parenthood?

a.the new mother having full emotional support of family and

friends and being emotionally ready for parenthood

b.early discharge, which offers the mother and newborn an

opportunity to attain needed rest and sleep at home

c.the need of both parents to know that everything is okay and that
no problems will occur
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The correct answer is:

the new mother having full emotional support of family and
friends and being emotionally ready for parenthood

Question 23
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Which of the following additional assessment findings would be
most suspicious and lead the nurse to suspect postpartum "blues"
in a client who is anxious and crying?

a.despondency, loss of appetite, difficulty sleeping

b.loss of appetite, constipation, abdominal pain

c.poor concentration, constipation, urine retention

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The correct answer is:
despondency, loss of appetite, difficulty sleeping

Question 24
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After teaching a client about danger signs and symptoms to report
to her doctor, which of the following client statements indicates
the need for additional teaching?

a."I'll call the doctor if I have trouble urinating."

b."My vaginal discharge should be bright red for several days."

c."My temperature should stay below 100.4F."

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The correct answer is:

"My vaginal discharge should be bright red for several days."

Question 25
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Which of the following would the nurse identify as the underlying
cause for the development of hemorrhoids in the early postpartum
period?

a.slowed return of GI motility to the prepregnant state

b.pressure on the pelvic floor and straining during labor

c.elevation of glomerular filtration rate

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The correct answer is:

slowed return of GI motility to the prepregnant state

Question 26
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Select all that apply. The nurse observes the following
interactions between a mother and her neonate son during the
''taking-hold'' phase.

a.breastfeeding or bottle feeding her infant

b.diapering and bathing the infant

c.the mom is passive and dependent

d.the mother becomes concerned with her ability to parent

successfully

e.the new mom is focused on her bodily concerns

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The correct answers are:

*the mother becomes concerned with her ability to parent
successfully,

*breastfeeding or bottle feeding her infant,

*diapering and bathing the infant

Question 27
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Which of the following factors affecting labor is associated with
the passageway?

a.the presentation of the fetus in relation to the maternal pelvis

b.size of the fetal head and its ability to mold to the maternal
pelvis

c.the structure of the pelvis

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The correct answer is:

the structure of the pelvis

Question 28
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In which order do the cardinal movements of labor occur?

a.descent, flexion, internal rotation, extension, external rotation

and expulsion

b.descent, extension, internal rotation, flexion, external rotation,

expulsion

c.descent, internal rotation, flexion, external rotation, extension,

expulsion
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The correct answer is:

descent, flexion, internal rotation, extension, external rotation and
expulsion
Question 29
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In the LOA and ROA positions, the presenting part is the:

a.olecranon

b.buttocks

c.occiput
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The correct answer is:

occiput

Question 30
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Fetal heart rate variability is not affected by:

a.maternal drug use

b.fetal sleep

c.maternal sleep
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The correct answer is:

maternal sleep

Question 31
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The baseline FHR for a normally developing fetus usually is:

a.100 to 120 beats per minute and regular

b.120 to 160 beats per minute and irregular

c.160 to 180 beats per minute and regular

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The correct answer is:

120 to 160 beats per minute and irregular

Question 32
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Select all that apply. The possible cause of the onset of labor
includes:

a.placental aging

b.oxytocin stimulation

c.compression of the nerve ganglia

d.estrogen-progesterone shift

e.uterine anoxia
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The correct answers are:

*placental aging,

*estrogen-progesterone shift,
*oxytocin stimulation

Question 33
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Select all that apply. Assessment during the 3rd and 4th stages of
labor includes the following:

a.maternal emotional adjustment

b.childbirth education

c.newborn physiologic adjustment especially temperature

maintenance

d.preconception care

e.maternal physiologic adjustment, including vital signs and

amount and color of lochia

f.parent-newborn attachment
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The correct answers are:

*maternal physiologic adjustment, including vital signs and
amount and color of lochia,

*maternal emotional adjustment,

*parent-newborn attachment,

*newborn physiologic adjustment especially temperature

maintenance

Question 34
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Select all that apply. The following are signs of true labor;

a.sedation does not stop contractions

b.discomfort in lower abdomen

c.longer intervals between contractions

d.progressive thinning and opening of cervix

e.activity such as walking increases contractions

f.shorter intervals between contractions

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The correct answers are:

*sedation does not stop contractions,
*activity such as walking increases contractions,

*shorter intervals between contractions,

* progressive thinning and opening of cervix

Question 35
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Select all that apply. The following are imminent signs of labor:

a.bloody show

b.abdominal pain

c.rupture of membranes

d.feeling of full bladder

e.apprehension
f.increased activity of the mother

g.lightening
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The correct answers are:

*bloody show,

*rupture of membranes,

*lightening,

*increased activity of the mother

Question 36
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Select all that apply. Which of the following behaviors of the
mother would the nurse identify as evidence of mother-infant
attachment?

a.cuddles her son close to her

b.encourages the father to hold the baby

c.requests that the baby be brought to the nursery

d.takes a nap when the baby is sleeping

e.talks and coos to her baby

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The correct answers are:

* talks and coos to her baby,
* cuddles her son close to her